HomeMy WebLinkAboutDroskoski (2) OFFICE OF THE TOWN CLERK . D
Town of Southold , �� %.
Judith T. Terry, Town Clerk .L
Town Hall, 53095 Main Road `
P. O. Box 1179 Lon
Southold, New York 11971 Q ®,
Telephone = jt
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 266 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: Katherine Droskoski
- OWNER MAILING ADDRESS: Main Road
Orient. New YOrk 11957
OWNER PROPERTY ADDRESS: Main Road
Orient. New York
OWNER TELEPHONE NUMBER: 516-323-2538
TAX MAP NO. : Section 18 Block 4 Lot 9 1
CROSS STREET: Browns Hill Road (Private Road)
TYPE OF SYSTEM: Septic Tank . New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: December 30, 1986
•
40g1‘44244#4
Judith T. Ter -
Southold Town Clerk
DATE: April 13, 1987 •
(TOWN SEAL)